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General NPI Number Information
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NPI Number | 1982834735
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Entity Type | Organization
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Legal Business Name | RAZA SHAH M.D., P.A.
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 9430 TURKEY LAKE RD STE 108
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City | ORLANDO
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State | FL
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Zip | 32819-8015
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Country | US
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Telephone | 407-248-9800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 690493
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City | ORLANDO
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State | FL
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Zip | 32869-0493
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Country | US
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Telephone | 407-248-9800
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN-OWNER
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Name | DR. RAZA SHAH
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Credential | MD
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Telephone | 407-248-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME68053
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License Number State | FL
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